HEALTH CARE SYSTEM IN PALESTINE. Definition. A health system is the combined entity of all resources, actors and institutions related to the financing, regulation and provision of all activities whose primary intent is to improve or maintain health (WHO, 2000).
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A health system is the combined entity of all resources, actors and institutions related to the financing, regulation and provision of all activities whose primary intent is to improve or maintain health (WHO, 2000).
A health care system is an arrangement in which health care is delivered. There are many variations of health care systems around the world.
The goals for health systems according to the World Health Report 2000 - Health systems:
1. To provide up to date quality information on the health system, its performance and reforms to be used by policy makers.
2. To provide a sound foundation for comparative analytical work on specific health system issues.
A "successful" Palestinian health system should at a minimum :
A Health Care System Still Fragmented and Increasingly Unaffordable.
Rank Mortality (2003) Morbidity
57% of health human resources in Palestine are employed by MOH, There are 9.73 physicians,16 nurses, 1.43 pharmacists, 7.43 paramedics and 17.5 administrators and workers per 10.000 populations in Palestine in 2004.
There are 0.47 physicians and 0.74 nurses per hospital bed in Palestine. There is one physician for 3.000 populations and one nurse for 2,265 populations in PHC clinics in Palestine.
* Includes physicians and specialists.
** Underestimated, the private sector is not included.
Package of Services for Health Care
Ministry of Health owned and operates 22 hospitals with total capacity of 2,735 beds. 17 hospitals provide general hospital services, two psychiatric hospitals with 319 beds, two pediatric hospitals in Gaza Strip with 222 beds and one ophthalmic hospital with 31 beds.
There are 31 hospitals with a capacity of 1,565 beds owned and operated by NGOs in Palestine in 2004.
NGOs hospitals provide secondary, maternity, geriatric and rehabilitation services. There are no geriatric or rehabilitation hospitals in public or private sectors.
Private sector has 23 hospitals with total capacity of 461 beds. Private hospitals provide special types of health service such as Intra Vitro Fertilization (IVF), Ophthalmic, maternity and surgical services.
A National Strategic Health Plan was prepared in 1998 to cover five years 1999-2003.
It was partially implemented and affected by the Intifada events from September 2000. There is a current evaluation to this plan for preparation for a Health system reform.